{
"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-alpha.1",
"status": "draft",
"id": "8b16e687-be9f-448e-aa39-1c750f29bf58",
"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.Anmeldedatum",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.Anmeldedatum",
"type": [ {
"code": "date"
} ],
"short": "Anmeldedatum",
"mapping": [ {
"map": "ClinicalImpression.effectiveDateTime",
"identity": "mii-map-mtb"
} ],
"definition": "Anmeldedatum für das 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 familiäre Krankengeschichte"
}, {
"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.Einwilligung",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.Einwilligung",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Einwilligung",
"mapping": [ {
"map": "Consent",
"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": "Consent.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.Diagnose",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Diagnose.Diagnose",
"type": [ {
"code": "Reference"
} ],
"short": "Verweis auf Diagnose",
"mapping": [ {
"map": "Condition.where(meta.profile = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor')",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf Diagnose"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Diagnose.Histologie",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Diagnose.Histologie",
"type": [ {
"code": "Reference"
} ],
"short": "Verweis auf Histologiebefund",
"mapping": [ {
"map": "Observation.where(meta.profile = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-histologie-icdo3')",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf den Befund zur Histologie des Tumors"
}, {
"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.TumorausbreitungED",
"max": "1",
"min": 1,
"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": 1,
"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.Diagnose.LeitlinienbehandlungStatus",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Diagnose.LeitlinienbehandlungStatus",
"type": [ {
"code": "code"
} ],
"short": "Status Leitlinienbehandlung",
"mapping": [ {
"map": "Condition.extension(LeitlinenbehandlungStatus)",
"identity": "mii-map-mtb"
} ],
"definition": "Status der Leitlinienbehandlung"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Vortherapie",
"max": "*",
"min": 1,
"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.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 Fällen weitere Diagnosen"
}, {
"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": "ClinicalImpression.extension.extension(Zulassungsstatus)",
"identity": "mii-map-mtb"
} ],
"definition": "Zulassungsstatus der Vortherapie"
}, {
"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": "ClinicalImpression.extension.extension(Therapielinie)",
"identity": "mii-map-mtb"
} ],
"definition": "Therapielinie der Vortherapie (0 bis 9)"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Startdatum",
"max": "1",
"min": 0,
"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.Wirkstoffe",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Wirkstoffe",
"type": [ {
"code": "code"
} ],
"short": "Wirkstoffe",
"mapping": [ {
"map": "MedicationStatement.medicationCodeableConcept",
"identity": "mii-map-mtb"
} ],
"definition": "Wirkstoffe der systemischen Leitlinientherapie"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Abbruchsgrund",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Vortherapie.Abbruchsgrund",
"type": [ {
"code": "code"
} ],
"short": "Abbruchsgrund",
"mapping": [ {
"map": "Procedure.outcome.coding.code",
"identity": "mii-map-mtb"
} ],
"definition": "Gibt den Grund an, warum die Systemtherapie beendet wurde"
}, {
"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.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.effectiveDateTime",
"identity": "mii-map-mtb"
} ],
"definition": "Bestimmungsdatum des ECOG Performance Status"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.ECOG.AllgemeinerLeistungszustand",
"max": "1",
"min": 0,
"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.Probe",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Probe",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Histologie und Tumorzellgehalt",
"mapping": [ {
"map": "Specimen",
"identity": "mii-map-mtb"
} ],
"definition": "Histologiebefund und bestimmter Tumorzellgehalt"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Probe.Histologie",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Probe.Histologie",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
} ],
"short": "Verweis auf Histologiebefund",
"mapping": [ {
"map": "DiagnosticReport",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf den Befund zur Histologie des Tumors"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Probe.Tumorzellgehalt",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.Probe.Tumorzellgehalt",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Tumorzellgehalt",
"mapping": [ {
"map": "Observation",
"identity": "mii-map-mtb"
} ],
"definition": "Tumorzellgehalt"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Probe.Tumorzellgehalt.Methode",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.Probe.Tumorzellgehalt.Methode",
"type": [ {
"code": "code"
} ],
"short": "Bestimmungsmethode",
"mapping": [ {
"map": "Observation.method.valueCodeableConcept.coding.code",
"identity": "mii-map-mtb"
} ],
"definition": "Angewandte Methode zur Bestimmung des Tumorzellgehalts"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.Probe.Tumorzellgehalt.Wert",
"max": "1",
"min": 1,
"path": "mii-lm-mtb.Behandlungsepisode.Probe.Tumorzellgehalt.Wert",
"type": [ {
"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",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Therapieplan gemäß Beschluss des Molekularen Tumorboards",
"mapping": [ {
"map": "CarePlan",
"identity": "mii-map-mtb"
} ],
"definition": "Therapieplan gemäß Beschluss des Molekularen Tumorboards"
}, {
"id": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Erstellungsdatum",
"max": "1",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Erstellungsdatum",
"type": [ {
"code": "dateTime"
} ],
"short": "Erstellungsdatum",
"mapping": [ {
"map": "CarePlan.created",
"identity": "mii-map-mtb"
} ],
"definition": "Erstellungsdatum des Therapieplans gemäß 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.Therapieempfehlungen",
"max": "*",
"min": 0,
"path": "mii-lm-mtb.Behandlungsepisode.BeschlussTherapieplan.Therapieempfehlungen",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Therapieempfehlungen gemäß Beschluss des Molekularen Tumorboards",
"mapping": [ {
"map": "MedicationRequest",
"identity": "mii-map-mtb"
} ],
"definition": "Therapieempfehlungen gemäß 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.supportingInformation[StuetzendeMolekulareAlteration]",
"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.supportingInformation[StuetzendeEntitaet]",
"identity": "mii-map-mtb"
} ],
"definition": "Verweis auf die Tumorentität, falls Therapie- oder Studieneinschlussempfehlung nicht aufgrund einer molekularen Alteration geschieht"
}, {
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"definition": "Empfohlene Wirkstoffe zur Therapie"
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"definition": "Evidenzgraduierung für Biomarker-basierte Therapieempfehlung"
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"definition": "PMID zur Publikation"
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"identity": "mii-map-mtb"
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"definition": "Stützende Entität"
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} ],
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"definition": "Identifikator NCT Studie"
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} ],
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"definition": "Identifikator Eudra-CT Studie"
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} ],
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"definition": "Verweis auf den Befund zur Histologie des Tumors"
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"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."
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}