{
"description": "MII Logical Model Modul Molekulares Tumorboard",
"_filename": "StructureDefinition-mii-lm-mtb.json",
"package_name": "de.medizininformatikinitiative.kerndatensatz.mtb",
"date": null,
"derivation": "specialization",
"publisher": "Medizininformatik Initiative",
"fhirVersion": "4.0.1",
"name": "MII_LM_MTB",
"mapping": [ {
"name": "MII MAP Molekulares Tumorboard",
"comment": "MII Mappings Modul Molekulares Tumorboard",
"identity": "mii-map-mtb"
} ],
"abstract": false,
"type": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/LogicalModel/mii-lm-mtb",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "MII LM Molekulares Tumorboard",
"package_version": "2025.0.0-ballot",
"status": "draft",
"id": "7b98dea7-eb07-4643-893a-39854c69b447",
"kind": "logical",
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/LogicalModel/mii-lm-mtb",
"version": "2024.0.0-ballot",
"differential": {
"element": [ {
"id": "mii-lm-mtb",
"path": "mii-lm-mtb",
"short": "MII LM Molekulares Tumorboard",
"definition": "MII Logical Model Modul Molekulares Tumorboard"
}, {
"id": "mii-lm-mtb.Behandlungsepisode",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Behandlungsepisode",
"mapping": [ {
"map": "ClinicalImpression",
"identity": "mii-map-mtb"
} ],
"definition": "Behandlungsepisode"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Zeitraum",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.Zeitraum",
"type": [ {
"code": "Period"
} ],
"short": "Zeitraum der Behandlungsepisode",
"mapping": [ {
"map": "ClinicalImpression.effectivePeriod",
"identity": "mii-map-mtb"
} ],
"definition": "Zeitraum von Einschluss bis Abschluss im Molekulare Tumorboard"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.KrankengeschichteFamilie",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.KrankengeschichteFamilie",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory" ]
} ],
"short": "Verweis auf Krankengeschichte Familie",
"mapping": [ {
"map": "ClinicalImpression.investigation.item:Reference(FamilyMemberHistory)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf die familiƤre Krankengeschichte"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Vorbefund",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Vorbefund",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/Observation" ]
} ],
"short": "Verweis auf Vorbefund",
"mapping": [ {
"map": "ClinicalImpression.supportingInfo:Reference(DiagnosticReport or Observation)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf relevanten Vorbefund"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.NGSBericht",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.NGSBericht",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
} ],
"short": "Verweis auf NGS Bericht",
"mapping": [ {
"map": "ClinicalImpression.investigation.item:Reference(DiagnosticReport)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf Next Generation Sequencing Bericht"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.MolekularPathologieBefund",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.MolekularPathologieBefund",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
} ],
"short": "Verweis auf Molekular Pathologie Befund",
"mapping": [ {
"map": "ClinicalImpression.investigation.item:Reference(DiagnosticReport)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf Molekular Pathologie Befund"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.LeitlinieDokumentation",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.LeitlinieDokumentation",
"type": [ {
"code": "Extension"
} ],
"short": "Leitlinie Dokumentation",
"mapping": [ {
"map": "ClinicalImpression.supportingInfo.extension(LeitlinieDokumentation)",
"identity": "mii-map-mtb"
} ],
"definition": "Dokumentation zur Leitlinien-konformen Umsetzung der Prozedur"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.LeitlinienbehandlungStatus",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.LeitlinienbehandlungStatus",
"type": [ {
"code": "code"
} ],
"short": "Status Leitlinienbehandlung",
"mapping": [ {
"map": "ClinicalImpression.extension(LeitlinenbehandlungStatus)",
"identity": "mii-map-mtb"
} ],
"definition": "Status der Leitlinienbehandlung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Einwilligung",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.Einwilligung",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Einwilligung",
"mapping": [ {
"map": "Observation",
"identity": "mii-map-mtb"
} ],
"definition": "Einwilligung zum Molekularen Tumorboard"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Einwilligung.Status",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.Einwilligung.Status",
"type": [ {
"code": "code"
} ],
"short": "Status Einwilligung",
"mapping": [ {
"map": "Observation.status",
"identity": "mii-map-mtb"
} ],
"definition": "Status der Einwilligung zum Molekularen Tumorboard"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Diagnose",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.Diagnose",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Diagnose",
"mapping": [ {
"map": "Condition",
"identity": "mii-map-mtb"
} ],
"definition": "Diagnose"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Diagnose.WHOGradZNS",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Diagnose.WHOGradZNS",
"type": [ {
"code": "code"
} ],
"short": "WHO-Grad ZNS Tumor",
"mapping": [ {
"map": "Condition.stage.assessment:Reference(Observation)",
"identity": "mii-map-mtb"
} ],
"definition": "Grad des Tumors nach WHO Klassifikation der Tumoren des zentralen Nervensystems (ZNS)"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Diagnose.OncoTree",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Diagnose.OncoTree",
"type": [ {
"code": "code"
} ],
"short": "OncoTree Classification",
"mapping": [ {
"map": "Condition.stage.assessment:Reference(Observation)",
"identity": "mii-map-mtb"
} ],
"definition": "Klassifizierung eines Tumor nach OncoTree"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Diagnose.TumorausbreitungED",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Diagnose.TumorausbreitungED",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Tumorausbreitung ED",
"mapping": [ {
"map": "Condition.stage.assessment:Reference(Observation)",
"identity": "mii-map-mtb"
} ],
"definition": "Tumorausbreitung zum Zeitpunkt der Erstdiagnose"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Diagnose.TumorausbreitungED.Wert",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.Diagnose.TumorausbreitungED.Wert",
"type": [ {
"code": "code"
} ],
"short": "Wert",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "mii-map-mtb"
} ],
"definition": "Wert Tumorausbreitung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Diagnose.TumorausbreitungED.Zeitpunkt",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.Diagnose.TumorausbreitungED.Zeitpunkt",
"type": [ {
"code": "dateTime"
} ],
"short": "Zeitpunkt",
"mapping": [ {
"map": "Observation.effectiveDateTime",
"identity": "mii-map-mtb"
} ],
"definition": "Zeitpunkt der Tumorausbreitung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Diagnose.TumorausbreitungMTB",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Diagnose.TumorausbreitungMTB",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Tumorausbreitung MTB",
"mapping": [ {
"map": "Condition.stage.assessment:Reference(Observation)",
"identity": "mii-map-mtb"
} ],
"definition": "Tumorausbreitung zum Zeitpunkt der MTB-Anmeldung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Diagnose.TumorausbreitungMTB.Wert",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.Diagnose.TumorausbreitungMTB.Wert",
"type": [ {
"code": "code"
} ],
"short": "Wert",
"mapping": [ {
"map": "Observation.valueCodeableConcept.coding.code",
"identity": "mii-map-mtb"
} ],
"definition": "Wert Tumorausbreitung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Diagnose.TumorausbreitungMTB.Zeitpunkt",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.Diagnose.TumorausbreitungMTB.Zeitpunkt",
"type": [ {
"code": "dateTime"
} ],
"short": "Zeitpunkt",
"mapping": [ {
"map": "Observation.effectiveDateTime",
"identity": "mii-map-mtb"
} ],
"definition": "Zeitpunkt der Tumorausbreitung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Vortherapie",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Vortherapie",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Vortherapie",
"mapping": [ {
"map": "Procedure",
"identity": "mii-map-mtb"
} ],
"definition": "Vortherapie"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Kategorie",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Kategorie",
"type": [ {
"code": "code"
} ],
"short": "Kategorie",
"mapping": [ {
"map": "Procedure.category",
"identity": "mii-map-mtb"
} ],
"definition": "Kategorie der Leitlinientherapie (Prozedur)"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Startdatum",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Startdatum",
"type": [ {
"code": "dateTime"
} ],
"short": "Startdatum",
"mapping": [ {
"map": "Procedure.performedPeriod.start",
"identity": "mii-map-mtb"
} ],
"definition": "Startdatum der Vortherapie"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Enddatum",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Enddatum",
"type": [ {
"code": "dateTime"
} ],
"short": "Enddatum",
"mapping": [ {
"map": "Procedure.performedPeriod.end",
"identity": "mii-map-mtb"
} ],
"definition": "Enddatum der Vortherapie"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Diagnose",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Diagnose",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ]
} ],
"short": "Verweis auf Diagnose",
"mapping": [ {
"map": "Procedure.reasonReference:Reference(Condition)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf i.d.R. die Anmeldediagnose, in seltenen FƤllen weitere Diagnosen"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Therapiestatusgrund",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Therapiestatusgrund",
"type": [ {
"code": "code"
} ],
"short": "Therapiestatusgrund",
"mapping": [ {
"map": "Procedure.statusReason",
"identity": "mii-map-mtb"
} ],
"definition": "Gibt den Grund an, warum die Systemtherapie beendet wurde"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Therapieplan",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Therapieplan",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan" ]
} ],
"short": "Verweis auf Therapieplan",
"mapping": [ {
"map": "Procedure.basedOn",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf den im Molekularen Tumorboard beschlossenen Therapieplan"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Therapielinie",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Therapielinie",
"type": [ {
"code": "unsignedInt"
} ],
"short": "Therapielinie",
"mapping": [ {
"map": "Procedure.extension.extension(Therapielinie)",
"identity": "mii-map-mtb"
} ],
"definition": "Therapielinie der Vortherapie (0 bis 9)"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Zulassungsstatus",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Zulassungsstatus",
"type": [ {
"code": "code"
} ],
"short": "Zulassungsstatus",
"mapping": [ {
"map": "Procedure.extension.extension(Zulassungsstatus)",
"identity": "mii-map-mtb"
} ],
"definition": "Zulassungsstatus der Vortherapie"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.ECOG",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.ECOG",
"type": [ {
"code": "BackboneElement"
} ],
"short": "ECOG Performance Status",
"mapping": [ {
"map": "Observation",
"identity": "mii-map-mtb"
} ],
"definition": "ECOG Performance Status bei Einschluss ins Molekulare Tumorboard"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.ECOG.Datum",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.ECOG.Datum",
"type": [ {
"code": "dateTime"
} ],
"short": "Bestimmungsdatum",
"mapping": [ {
"map": "Observation.effective[x]",
"identity": "mii-map-mtb"
} ],
"definition": "Bestimmungsdatum des ECOG Performance Status"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.ECOG.AllgemeinerLeistungszustand",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.ECOG.AllgemeinerLeistungszustand",
"type": [ {
"code": "code"
} ],
"short": "Verweis auf Allgemeiner Leistungszustand",
"mapping": [ {
"map": "Observation.valueCodeableConcept",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf die Bewertung des allgemeinen Leistungszustandes"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Therapieplan gemäà Beschluss des Molekularen Tumorboards",
"mapping": [ {
"map": "CarePlan",
"identity": "mii-map-mtb"
} ],
"definition": "Therapieplan gemäà Beschluss des Molekularen Tumorboards"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Erstellungsdatum",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Erstellungsdatum",
"type": [ {
"code": "dateTime"
} ],
"short": "Erstellungsdatum",
"mapping": [ {
"map": "CarePlan.created",
"identity": "mii-map-mtb"
} ],
"definition": "Erstellungsdatum des Therapieplans gemäà Beschluss des Molekularen Tumorboards"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Protokollauszug",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Protokollauszug",
"type": [ {
"code": "string"
} ],
"short": "Protokollauszug",
"mapping": [ {
"map": "CarePlan.description",
"identity": "mii-map-mtb"
} ],
"definition": "Protokollauszug aus dem Beschluss des Molekularen Tumorboards"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.StatusBegruendung",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.StatusBegruendung",
"type": [ {
"code": "code"
} ],
"short": "Status Begründung",
"mapping": [ {
"map": "CarePlan.activity.detail.statusReason.valueCodeableConcept.coding.code",
"identity": "mii-map-mtb"
} ],
"definition": "Erforderliche Begründung für den Fall, dass der Beschluss keine Therapieempfehlungen enthält"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.UmgesetzteEmpfehlung",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.UmgesetzteEmpfehlung",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Consent", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/MedicationStatement", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/Procedure" ]
} ],
"short": "Verweis auf umgesetzte Empfehlungen",
"mapping": [ {
"map": "CarePlan.activity.outcomeReference:Reference(Consent or DiagnosticReport or MedicationStatement or Observation or Procedure)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf Dokumentation einer umgesetzten Empfehlung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Behandlungsepisode",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Behandlungsepisode",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ClinicalImpression" ]
} ],
"short": "Verweis auf Behandlungsepisode",
"mapping": [ {
"map": "CarePlan.supportingInfo:Reference(ClinicalImpression)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf Behandlungsepisode mit Angaben zum aktuellen Krankheitszustand und bisherige BehandlungsmaĆnahmen"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Therapieempfehlungen gemäà Beschluss des Molekularen Tumorboards",
"mapping": [ {
"map": "MedicationRequest",
"identity": "mii-map-mtb"
} ],
"definition": "Therapieempfehlungen gemäà Beschluss des Molekularen Tumorboards"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.StuetzendeMolekularAlterationen",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.StuetzendeMolekularAlterationen",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ]
} ],
"short": "Stützende molekulare Alteration(en)",
"mapping": [ {
"map": "MedicationRequest.reasonReference:Reference(Observation)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf entsprechendes Feld in NGS Bericht und/oder IHC (Verweis auf KDS Molekular-Pathologischer Befundbericht)"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.StuetzendeEntitaet",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.StuetzendeEntitaet",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ]
} ],
"short": "Stützende Entität",
"mapping": [ {
"map": "MedicationRequest.reasonReference:Reference(Condition)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf die TumorentitƤt, falls Therapie- oder Studieneinschlussempfehlung nicht aufgrund einer molekularen Alteration geschieht"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.Wirkstoffe",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.Wirkstoffe",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication" ]
} ],
"short": "Wirkstoffe",
"mapping": [ {
"map": "MedicationRequest.medicationReference(Medication)",
"identity": "mii-map-mtb"
} ],
"definition": "Empfohlene Wirkstoffe zur Therapie"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.Prioritaet",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.Prioritaet",
"type": [ {
"code": "positiveInt"
} ],
"short": "PrioritƤt",
"mapping": [ {
"map": "MedicationRequest.extension(Prioritaet)",
"identity": "mii-map-mtb"
} ],
"definition": "PrioritƤt der (einzelnen) Therapieempfehlung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.EvidenzLevel",
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"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.EvidenzLevel",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Evidenzgraduierung",
"mapping": [ {
"map": "Extension",
"identity": "mii-map-mtb"
} ],
"definition": "Evidenzgraduierung für Biomarker-basierte Therapieempfehlung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.EvidenzLevel.Graduierung",
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"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.EvidenzLevel.Graduierung",
"type": [ {
"code": "code"
} ],
"short": "Evidenzgrad",
"mapping": [ {
"map": "Extension.valueCodableConcept.coding.code",
"identity": "mii-map-mtb"
} ],
"definition": "Evidenzgrad der Therapieempfehlung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.EvidenzLevel.Zusatz",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.EvidenzLevel.Zusatz",
"type": [ {
"code": "code"
} ],
"short": "Zusatzverweis",
"mapping": [ {
"map": "Extension.valueCodableConcept.coding.code",
"identity": "mii-map-mtb"
} ],
"definition": "Zusatzverweise zum Evidenzgrad"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.EvidenzLevel.Publikationen",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.EvidenzLevel.Publikationen",
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} ],
"short": "Publikationen",
"mapping": [ {
"map": "Extension",
"identity": "mii-map-mtb"
} ],
"definition": "Publikationen zur Evidenzgraduierung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.EvidenzLevel.Publikationen.DigitalObjectIdentifier",
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"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.EvidenzLevel.Publikationen.DigitalObjectIdentifier",
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} ],
"short": "Digital Object Identifier (DOI)",
"mapping": [ {
"map": "Idenfifier.value",
"identity": "mii-map-mtb"
} ],
"definition": "DOI zur Publikation"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.EvidenzLevel.Publikationen.PubMedIdentifier",
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"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen.EvidenzLevel.Publikationen.PubMedIdentifier",
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} ],
"short": "PubMed Identifier (PMID)",
"mapping": [ {
"map": "Identifier.value",
"identity": "mii-map-mtb"
} ],
"definition": "PMID zur Publikation"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung",
"max": "*",
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} ],
"short": "Studieneinschlussempfehlungen",
"mapping": [ {
"map": "ServiceRequest",
"identity": "mii-map-mtb"
} ],
"definition": "Empfehlungen zum Studieneinschlus gemäà Beschluss des Molekularen Tumorboards"
}, {
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"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.StuetzendeEntitaet",
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"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ]
} ],
"short": "Stützende Entität",
"mapping": [ {
"map": "ServiceRequest.reasonReference:Reference(Condition)",
"identity": "mii-map-mtb"
} ],
"definition": "Stützende Entität"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.NctNummer",
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"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.NctNummer",
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"code": "Identifier"
} ],
"short": "NCT-Nummer",
"mapping": [ {
"map": "ServiceRequest.supportingInfo:Reference(ResearchStudy)",
"identity": "mii-map-mtb"
} ],
"definition": "Identifikator NCT Studie"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.EudraCtNummer",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.EudraCtNummer",
"type": [ {
"code": "Identifier"
} ],
"short": "Eudra-CT-Nummer",
"mapping": [ {
"map": "ServiceRequest.supportingInfo:Reference(ResearchStudy)",
"identity": "mii-map-mtb"
} ],
"definition": "Identifikator Eudra-CT Studie"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.DrksNummer",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.DrksNummer",
"type": [ {
"code": "Identifier"
} ],
"short": "DRKS-Nummer",
"mapping": [ {
"map": "ServiceRequest.supportingInfo:Reference(ResearchStudy)",
"identity": "mii-map-mtb"
} ],
"definition": "Identifikator DRKS Studie"
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"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.Prioritaet",
"max": "1",
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"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.Prioritaet",
"type": [ {
"code": "positiveInt"
} ],
"short": "PrioritƤt",
"mapping": [ {
"map": "ServiceRequest.extension(Prioritaet)",
"identity": "mii-map-mtb"
} ],
"definition": "PrioritƤt der (einzelnen) Therapieempfehlung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.Publikationen",
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"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.Publikationen",
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} ],
"short": "Publikationen",
"mapping": [ {
"map": "Extension",
"identity": "mii-map-mtb"
} ],
"definition": "Publikationen zur Evidenzgraduierung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.Publikationen.DigitalObjectIdentifier",
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"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.Publikationen.DigitalObjectIdentifier",
"type": [ {
"code": "string"
} ],
"short": "Digital Object Identifier (DOI)",
"mapping": [ {
"map": "Idenfifier.value",
"identity": "mii-map-mtb"
} ],
"definition": "DOI zur Publikation"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.Publikationen.PubMedIdentifier",
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"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Studieneinschlussempfehlung.Publikationen.PubMedIdentifier",
"type": [ {
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} ],
"short": "PubMed Identifier (PMID)",
"mapping": [ {
"map": "Identifier.value",
"identity": "mii-map-mtb"
} ],
"definition": "PMID zur Publikation"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.HumangenetischeBeratungAuftrag",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.HumangenetischeBeratungAuftrag",
"type": [ {
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} ],
"short": "Auftrag zur Human-genetischen Beratung",
"mapping": [ {
"map": "ServiceRequest",
"identity": "mii-map-mtb"
} ],
"definition": "Auftrag zur Human-genetischen Beratung"
}, {
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"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.HumangenetischeBeratungAuftrag.Probe",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Specimen" ]
} ],
"short": "Verweis auf Probe",
"mapping": [ {
"map": "ServiceRequest.specimen:Reference(Specimen)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf entnommene Probe"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.HumangenetischeBeratungAuftrag.Begruendung",
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"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.HumangenetischeBeratungAuftrag.Begruendung",
"type": [ {
"code": "code"
} ],
"short": "Begründung Auftrag Human-genetische-Beratung",
"mapping": [ {
"map": "ServiceRequest.reasonCode.valueCodeableConcept.coding.code",
"identity": "mii-map-mtb"
} ],
"definition": "Begründung für die Beauftragung einer erneuten Human-genetischen Beratung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.HistologieReevaluationAuftrag",
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"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.HistologieReevaluationAuftrag",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Auftrag zur Histologie-Reevaluation",
"mapping": [ {
"map": "ServiceRequest",
"identity": "mii-map-mtb"
} ],
"definition": "Auftrag zur Histologie-Reevaluation gemäà Beschluss des Molekularen Tumorboards"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.HistologieReevaluationAuftrag.Probe",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.HistologieReevaluationAuftrag.Probe",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Specimen" ]
} ],
"short": "Verweis auf Probe",
"mapping": [ {
"map": "ServiceRequest.specimen:Reference(Specimen)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf entnommene Probe"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.HistologieReevaluationAuftrag.Histologie",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.HistologieReevaluationAuftrag.Histologie",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
} ],
"short": "Verweis auf Histologiebefund",
"mapping": [ {
"map": "ServiceRequest.reasonReference:Reference(DiagnosticReport)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf den Befund zur Histologie des Tumors"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.HistologieReevaluationAuftrag.Tumorzellgehalt",
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} ],
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"mapping": [ {
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"identity": "mii-map-mtb"
} ],
"definition": "Tumorzellgehalt"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.HistologieReevaluationAuftrag.Tumorzellgehalt.Methode",
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"type": [ {
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} ],
"short": "Bestimmungsmethode",
"mapping": [ {
"map": "Observation.method.valueCodeableConcept.coding.code",
"identity": "mii-map-mtb"
} ],
"definition": "Angewandte Methode zur Bestimmung des Tumorzellgehalts"
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"code": "decimal"
} ],
"short": "Anzahl Tumorzellen",
"mapping": [ {
"map": "Observation.valueQuantity.value",
"identity": "mii-map-mtb"
} ],
"definition": "Gesamtanzahl an aktiven und inaktiven Tumorzellen"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.RebiopsieAuftrag",
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"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.RebiopsieAuftrag",
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} ],
"short": "Auftrag zur Rebiopsie",
"mapping": [ {
"map": "ServiceRequest",
"identity": "mii-map-mtb"
} ],
"definition": "Auftrag zur Rebiopsie gemäà Beschluss des Molekularen Tumorboards"
}, {
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"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.RebiopsieAuftrag.Probe",
"type": [ {
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"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Specimen" ]
} ],
"short": "Verweis auf Probe",
"mapping": [ {
"map": "ServiceRequest.specimen:Reference(Specimen)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf entnommene Probe"
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"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.RebiopsieAuftrag.Histologie",
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} ],
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"map": "ServiceRequest.reasonReference:Reference(DiagnosticReport)",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf den Befund zur Histologie des Tumors"
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"identity": "mii-map-mtb"
} ],
"definition": "Tumorzellgehalt"
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} ],
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"mapping": [ {
"map": "Observation.method.valueCodeableConcept.coding.code",
"identity": "mii-map-mtb"
} ],
"definition": "Angewandte Methode zur Bestimmung des Tumorzellgehalts"
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"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.RebiopsieAuftrag.Tumorzellgehalt.Wert",
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} ],
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"mapping": [ {
"map": "Observation.valueQuantity.value",
"identity": "mii-map-mtb"
} ],
"definition": "Gesamtanzahl an aktiven und inaktiven Tumorzellen"
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"max": "*",
"min": 0,
"path": "mii-lm-mtb.FollowUp",
"type": [ {
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} ],
"short": "Follow-Up nach DNPM",
"mapping": [ {
"map": "ClinicalImpression",
"identity": "mii-map-mtb"
} ],
"definition": "Follow-Up nach DNPM"
}, {
"id": "mii-lm-mtb.FollowUp.Erfassungsdatum",
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"path": "mii-lm-mtb.FollowUp.Erfassungsdatum",
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} ],
"short": "Erfassungsdatum",
"mapping": [ {
"map": "ClinicalImpression.effective",
"identity": "mii-map-mtb"
} ],
"definition": "Erfassungsdatum Durchführung Follow-Up"
}, {
"id": "mii-lm-mtb.FollowUp.FollowUpStatus",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.FollowUp.FollowUpStatus",
"type": [ {
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} ],
"short": "Follow-Up Status",
"mapping": [ {
"map": "ClinicalImpression.status",
"identity": "mii-map-mtb"
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"definition": "Follow-Up Status"
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"path": "mii-lm-mtb.FollowUp.GrundNichtUmsetzung",
"type": [ {
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} ],
"short": "GrundNichtUmsetzung",
"mapping": [ {
"map": "ClinicalImpression.statusReason",
"identity": "mii-map-mtb"
} ],
"definition": "Grund für die Nicht-Umsetzung des gesamten Therapieplans. Wird entweder evaluiert, wenn Patient ein zweites mal im MTB vorgestellt wird oder Patient verstorben ist."
}, {
"id": "mii-lm-mtb.FollowUp.SystemischeTherapie",
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"path": "mii-lm-mtb.FollowUp.SystemischeTherapie",
"type": [ {
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} ],
"short": "Systemische Therapie nach DNPM",
"mapping": [ {
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"identity": "mii-map-mtb"
}, {
"map": "Procedure",
"identity": "mii-map-mtb"
} ],
"definition": "Systemische Therapie nach DNPM"
}, {
"id": "mii-lm-mtb.FollowUp.SystemischeTherapie.MTBTherapieStartdatum",
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"min": 0,
"path": "mii-lm-mtb.FollowUp.SystemischeTherapie.MTBTherapieStartdatum",
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} ],
"short": "Startdatum",
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"identity": "mii-map-mtb"
} ],
"definition": "Startdatum"
}, {
"id": "mii-lm-mtb.FollowUp.SystemischeTherapie.MTBTherapieEnddatum",
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"path": "mii-lm-mtb.FollowUp.SystemischeTherapie.MTBTherapieEnddatum",
"type": [ {
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} ],
"short": "Enddatum",
"mapping": [ {
"map": "Procedure.performedPeriod.end",
"identity": "mii-map-mtb"
} ],
"definition": "Enddatum"
}, {
"id": "mii-lm-mtb.FollowUp.SystemischeTherapie.SystemischeTherapieEndeGrund",
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"path": "mii-lm-mtb.FollowUp.SystemischeTherapie.SystemischeTherapieEndeGrund",
"type": [ {
"code": "code"
} ],
"short": "Systemische Therapie Ende Grund",
"mapping": [ {
"map": "Procedure.statusReason",
"identity": "mii-map-mtb"
} ],
"definition": "Gibt den Grund an, warum die Systemtherapie beendet wurde."
}, {
"id": "mii-lm-mtb.FollowUp.SystemischeTherapie.TherapieEmpfehlung",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.FollowUp.SystemischeTherapie.TherapieEmpfehlung",
"type": [ {
"code": "string"
} ],
"short": "Therapieempfehlung",
"mapping": [ {
"map": "Procedure.extension[causedBy]",
"identity": "mii-map-mtb"
} ],
"definition": "Referenz auf Therapieempfehlung in Therapieplan"
}, {
"id": "mii-lm-mtb.FollowUp.SystemischeTherapie.Bemerkungen",
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"min": 0,
"path": "mii-lm-mtb.FollowUp.SystemischeTherapie.Bemerkungen",
"type": [ {
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} ],
"short": "Bemerkungen",
"mapping": [ {
"map": "Procedure.note",
"identity": "mii-map-mtb"
} ],
"definition": "Bemerkungen"
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"type": [ {
"code": "code"
} ],
"short": "Interpretation",
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"definition": "Interpretation"
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"id": "mii-lm-mtb.NGSBericht.CopyNumberVariant",
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"path": "mii-lm-mtb.NGSBericht.CopyNumberVariant",
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} ],
"short": "Einfache Variante",
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"map": "MII_PR_MolGen_Variante",
"identity": "mii-map-mtb"
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"type": [ {
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"id": "mii-lm-mtb.NGSBericht.CopyNumberVariant.StartPositionsbereich",
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"type": [ {
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} ],
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"definition": "Start-Positionsbereich"
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"id": "mii-lm-mtb.NGSBericht.CopyNumberVariant.EndePositionsbereich",
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"path": "mii-lm-mtb.NGSBericht.CopyNumberVariant.EndePositionsbereich",
"type": [ {
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"identity": "mii-map-mtb"
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"definition": "Ende-Positionsbereich"
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"id": "mii-lm-mtb.NGSBericht.CopyNumberVariant.TotalCN",
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"short": "Relative CN",
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"short": "CNA",
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} ],
"short": "Reported Affected Genes",
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} ],
"definition": "Reported Affected Genes"
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"short": "Reported Focality",
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} ],
"definition": "Reported Focality"
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"definition": "Type"
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} ],
"definition": "Copy-Number-Neutral LoH"
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"definition": "Number Reported Reads"
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}, {
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"definition": "Varianten ID"
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} ],
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"definition": "Entrez ID"
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"path": "mii-lm-mtb.NGSBericht.RNASeq.EnsembleID",
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"definition": "Transcript ID"
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"path": "mii-lm-mtb.NGSBericht.RNASeq.TranscriptsPerMillion",
"type": [ {
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"short": "Transcripts Per Million",
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"definition": "Transcripts Per Million"
}, {
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"path": "mii-lm-mtb.NGSBericht.RNASeq.TissueCorrectedExpression",
"type": [ {
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"short": "Tissue Corrected Expression",
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"definition": "Tissue Corrected Expression"
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"definition": "Raw counts"
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"definition": "Cohort ranking"
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},
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} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}